NPI | 1518627645 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10018655) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61385886) |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2021-12-30 |
Last Update Date | 2023-11-14 |